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8431 Murphy Drive <br />Middleton, WI 53562USA <br />Telephone: 608.836.4400 <br />Facsimile: 608.831.9279 <br />www.intertek.com <br />Test Verification of Conformity <br />This Verification is for the exclusive use of Intertek's client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are <br />limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense <br />or damage occasioned by the use of this Verification. Only the Client is authorized to permit copying or distribution of this Verification. Any use of the Intertek name or one of its <br />marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test/inspection results <br />referenced in this Verification are relevant only to the sample tested/inspected. This Verification by itself does not imply that the material, product, or service is or has ever been <br />under an Intertek certification program. <br />GFT-OP-11a (24-MAR-2014) <br />Signature: <br />Name: Nalini Mandadi <br />Position: Project Engineer <br />Date: 11/14/2014 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />In the basis of the tests undertaken, the sample(s) of the below product have been found to comply with the requirements of <br />the referenced specifications at the time the tests were carried out. <br />Applicant Name & Address: IronRidge, Inc. <br />28357 Industrial Blvd <br />Hayward, CA 94545 <br />USA <br />Product Description: Flush Mount System with XR Rails. <br />Ratings & Principle <br />Characteristics: <br />Fire Class Resistance Rating: <br />-Flush Mount (Symmetrical). Class A Fire Rated for Low Slope applications when using Type 1, <br />2, 3, 13, 19, 25 and 29 listed photovoltaic modules. Class A Fire Rated for Steep Slope <br />applications with Type1, 2 and 3, listed photovoltaic modules. Tested with a 5” gap (distance <br />between the bottom the module frame and the roof covering), per the standard this system can <br />be installed at any gap allowed by the manufacturers installation instructions. No perimeter <br />guarding is required. This rating is applicable with any IronRidge or 3’rd party roof anchor. <br />Models: IronRidge Flush Mount with XR Rails <br />Brand Name:IronRidge Flush Mount <br />Relevant Standards: UL 2703 (Section 15.2 and 15.3) Standard for Safety Mounting Systems, Mounting Devices, <br />Clamping/Retention Devices, and Ground Lugs for Use with Flat-Plate Photovoltaic Modules <br />and Panels, First Edition dated Jan. 28, 2015 Referencing UL1703 Third Edition dated Nov. 18, <br />2014, (Section 31.2) Standard for Safety for Flat-Plate Photovoltaic Modules and Panels. <br />Verification Issuing Office: Intertek Testing Services NA, Inc. <br />8431 Murphy Drive <br />Middleton, WI 53562 <br />Date of Tests: 08/27/2014 to 03/17/2015 <br />Test Report Number(s): 101769343MID-001r1, 101769343MID-001a, 101915978MID-001 & 101999492MID-001ar1-cr1, <br />104428358MID-001 EEV <br />Revision Summary 8/27/2020 Added type 13, 19, 25 and 29 to system, update address. <br />This verification is part of the full test report(s) and should be read in conjunction with them. This report does not automatically <br />imply product certification. <br /> <br />Completed by: Chris Zimbrich Reviewed by: Chad Naggs <br />Title: Technician I, Fire Resistance Title: Technical Team Lead, Fire Resistance <br /> <br />Signature: Signature: <br />Date: 08/27/2020 Date: 08/27/2020 <br />1621 W Avalon <br />Ave08/07/23